Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Siddharth Shah

Individual provider Dermatology Physician · NPI 1275261729

Siddharth Shah is a Physician Assistant in Rocklin, California. Qualified in 2022, 4 years ago. Practices with Chacon Bnk PC, a 5-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2022
Specialties on file
2

Practice location Address checks out

2203 Plaza Dr Ste 110
Rocklin, CA 95765-4427
Phone: (916) 938-2531
Fax: (877) 569-2252
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Dermatology Physician Taxonomy 207N00000X · Licence PA61439 (CA)

Record details

NPI number1275261729
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 11, 2022
Last updated in NPPESOctober 10, 2025
Certification dateOctober 10, 2025
Mailing address2203 Plaza Dr Ste 110, Rocklin, CA 95765-4427

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Chacon Bnk Pc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Rocklin